Provider Demographics
NPI:1710531850
Name:BUTLER, RACHEL
Entity Type:Individual
Prefix:DR
First Name:RACHEL
Middle Name:
Last Name:BUTLER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8360 6TH AVE
Mailing Address - Street 2:
Mailing Address - City:TACOMA
Mailing Address - State:WA
Mailing Address - Zip Code:98465-1044
Mailing Address - Country:US
Mailing Address - Phone:317-376-3915
Mailing Address - Fax:
Practice Address - Street 1:3201 NW RANDALL WAY
Practice Address - Street 2:
Practice Address - City:SILVERDALE
Practice Address - State:WA
Practice Address - Zip Code:98383-7952
Practice Address - Country:US
Practice Address - Phone:360-536-6010
Practice Address - Fax:360-536-9100
Is Sole Proprietor?:Yes
Enumeration Date:2019-07-26
Last Update Date:2019-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAPH60921753183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist